Organization
PEAVEY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA ANN PEAVEY D.O. (DOCTOR OF OSTEOPATHY)
(541) 889-2229
Entity
Organization
Contact information
Practice address
1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914-4500
(541) 889-2229
Mailing address
1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914-4500
(541) 889-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO161883
OR
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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